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This large population-based study from Sweden (2006–2019) directly compares three management strategies following gallstone-related acute pancreatitis: same-admission cholecystectomy, ERCP alone, and no intervention. The findings demonstrate that same-admission cholecystectomy is associated with the lowest risk of recurrent pancreatitis and other gallstone-related complications. While ERCP alone reduces the short-term recurrence risk, it does not prevent longer-term biliary complications effectively. Many patients still receive no intervention during index admission, reinforcing the need to prioritize early surgery where feasible.
